Pathology of osteoarthritis

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Diseases of musculoskeletal system. 4. Degenerative bone diseases Osteoarthritis.
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OSTEOARTHRITIS. Osteoarthritis (OA) is a common, degenerative disease, which is characterized by local degeneration of joint cartilage and new bone formation.
DEGENERATIVE JOINT DISEASE = OSTEOARTHRITIS. DEGENERATIVE JOINT DISEASE Degenerative joint disease is chracterized by: 1. pain 2. stiffness 3. loss of.
OSTEOARTHRITIS Dr Sami Abdallah. Anatomy of synovial joints:
Adhesive capsulitis of the shoulder
Brief pain inventory. (Reproduced with permission from the University of Texas MD Anderson Cancer Center, Department of Symptom Research, Houston, TX.
Avascular necrosis (AVN) of the humeral head
Sagittal T2-weighted MRI of lumbar spine showing multilevel disk bulges, ligamentum flavum hypertrophy, and retrolisthesis at L2-L3. Source: Neurosurgery,
Arthritis.
Imaging differential diagnosis for rheumatoid arthritis
Desmoplastic small round cell tumor
The myometrium is incised carefully to avoid cutting the fetal head
Chronic arthritis caused by Histoplasma capsulatum in the left knee. A
Chronic arthritis caused by Histoplasma capsulatum in the left knee. A
Radiofrequency (RF) neurolysis of the sacroiliac joint (SIJ), using a single RF needle overlapping technique. Note contrast in the SIJ confirming probe.
Sagittal MR images of the knee showing meniscal tear
The cycle of injury and reinjury resulting from rotator cuff impingement. Source: Chapter 3. Sports Medicine, Current Diagnosis & Treatment in Orthopedics,
Recovery rates of ASIA Motor Score for persons with incomplete and complete paraplegia and tetraplegia. (Reproduced, with permission, from Waters RL, Adkins.
Forearm support for sustained work at the computer.
Diagnostic algorithm for normocytic anemia.
Imaging in Osteoarthritis
Communication strategy: increasing mammogram use
Radiograph of a giant cell tumor of the thumb
Staging of endometriosis
Seborrheic keratosis. (Reproduced, with permission, from Bondi EE, Jegasothy BV, Lazarus GS [editors]. Dermatology: Diagnosis & Treatment. Originally published.
Radiographs of the right femur in a patient with juvenile Paget disease before (left) and after (right) 10 months of treatment with calcitonin. Note the.
Acute promyelocytic leukemia. (Bone marrow aspirate, 100 ×
Sleeve fracture of the patella
(Figure 1–12c, with permission, from Dr Moise Bendayan, Departments of Pathology and Cell Biology, University of Montreal, Montreal, Canada.) Source: Chapter.
Survival rates after thyroidectomy for papillary, mixed papillary-follicular, follicular, medullary, and undifferentiated thyroid cancer. Source: Thyroid.
Internal hemorrhoids. (Used, with permission, from John Cello, MD.)
Technique of varicose vein stripping
A: Preoperative lateral radiograph of a patient with hallux rigidus
A graph of the 15-year survival curves comparing localized melanoma (Stages I and II), regional metastases (Stage III), and distant metastases (Stage IV).
Scaphoid fracture. A. Scaphoid fracture nonunion. B
Transverse view comparisons of a painful left medial collateral ligament (MCL) and the right asymptomatic ligament. The left ligament is thickened with.
(Data from Rosenfeld RL. N Engl J Med 2005; 353:2578–2588.)
Hairy cell leukemia. (Bone marrow core biopsy, 50 ×
A: High female anatomic anomaly. Low vaginal fistula
(Reproduced, with permission, from Langman J, Sadler TW
(Data from Rosenfeld RL. N Engl J Med 2005; 353:2578–2588.)
Dry (atrophic) age-related macular degeneration with patchy focal atrophy (A) and extensive confluent atrophy (B). Source: Disorders of the Eyes & Lids,
Radiograph of a solitary plasmacytoma in the proximal femur of a 46-year-old man. Source: Chapter 5. Musculoskeletal Oncology, Current Diagnosis & Treatment.
(Reproduced, with permission, from Emiliano Chavira, MD.)
Longitudinal view of the proximal plantar fascia as it originates from the calcaneus (CALC). Source: Musculoskeletal Ultrasound, CURRENT Diagnosis & Treatment:
Internal hemorrhoids. (Used, with permission, from John Cello, MD.)
Hybrid total hip replacement with porous coated acetabular shell and cemented femoral stem performed for osteoarthritis. Source: Orthopedic Surgery, CURRENT.
Carotid angioplasty and stenting
Epigastric hernia. Note closeness to ­midline and the presence in upper abdomen. The herniation is through the linea alba. Source: Hernias & Other Lesions.
Small bowel obstruction
Radiograph of a pathologic fracture secondary to Gaucher disease involving the distal femur in a 29-year-old man. Source: Chapter 5. Musculoskeletal Oncology,
Follicular cysts. (A) Clinical presentation of follicular cysts
Diagram of a triple arthrodesis
Distribution of the arthritides in the hands
The role of imaging modalities in the diagnosis, differential diagnosis and clinical assessment of peripheral joint osteoarthritis  C.Y.J. Wenham, A.J.
Atlas of individual radiographic features in osteoarthritis, revised
Histopathological subgroups in knee osteoarthritis
Imaging of non-osteochondral tissues in osteoarthritis
Nat. Rev. Rheumatol. doi: /nrrheum
Development and reliability of a multi-modality scoring system for evaluation of disease progression in pre-clinical models of osteoarthritis: celecoxib.
Synovial pathology detected on ultrasound correlates with the severity of radiographic knee osteoarthritis more than with symptoms  M. Hall, S. Doherty,
Osteoarthritic changes in vervet monkey knees correlate with meniscus degradation and increased matrix metalloproteinase and cytokine secretion  A.V.
Figure 4 Role of TGFβ in a normal and an osteoarthritic joint
Structural correlates of pain in joints with osteoarthritis
S. Reichenbach, M. D. , A. Guermazi, M. D. , J. Niu, M. B. B. S. , D
The OARSI histopathology initiative – recommendations for histological assessments of osteoarthritis in the rat  N. Gerwin, A.M. Bendele, S. Glasson,
The relationship between specific tissue lesions and pain severity in persons with knee osteoarthritis  Ms L. Torres, B.A., Dr D.D. Dunlop, Ph.D., Dr.
Christopher Buckland-Wright, D.Sc  Osteoarthritis and Cartilage 
Comments on Beattie et al
Osteoarthritis year 2012 in review: imaging
Presentation transcript:

Pathology of osteoarthritis Pathology of osteoarthritis. The osteoarthritic joint is characterized by degradation and loss of the articular cartilage, thickening of the subchondral bone accompanied by formation of bone marrow lesions and cysts, osteophytes at the joint margins, variable degrees of synovitis with synovial hypertrophy, meniscal degeneration (knee), and thickening of the joint capsule. (Reproduced with permission from Loeser RF. Age-related changes in the musculoskeletal system and the development of osteoarthritis. Clin Geriatr Med. 2010;26(3):371-386.) Source: Osteoarthritis, Current Diagnosis & Treatment: Geriatrics, 2e Citation: Williams BA, Chang A, Ahalt C, Chen H, Conant R, Landefeld C, Ritchie C, Yukawa M. Current Diagnosis & Treatment: Geriatrics, 2e; 2014 Available at: http://accessmedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/953/lan002_fig_26-01.gif&sec=53377128&BookID=953&ChapterSecID=53375650&imagename= Accessed: October 29, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved